Using Focus Groups and Social Marketing to Strengthen Promotion of Group Prenatal Care

Vonderheid, Susan C.; Carrié, Sylvie; Norr, Kathleen F.; Grady, Mary; Westdahl, Claire

doi:10.1097/ans.0000000000000005

Cited by 14 publications

(11 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If women do not know where to obtain PNC, system improvements are needed to communicate where and how to access PNC, taking into account literacy levels in the inner-city, and using innovative strategies such as social marketing. 30 , 31 In addition, it is important that initiatives to promote PNC consider the cultural context and beliefs of various populations. 14 , 15 For example, Aboriginal women interviewed in two previous studies 32 , 33 conceptualized pregnancy as a healthy, natural state that did not necessarily require medical intervention.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of barriers, facilitators and motivators related to use of prenatal care: A qualitative descriptive study of inner-city women in Winnipeg, Canada

et al. 2015

View full text Add to dashboard Cite

Objective:The objective of this qualitative descriptive study was to explore the perceptions of women living in inner-city Winnipeg, Canada, about barriers, facilitators, and motivators related to their use of prenatal care.Methods:Individual, semi-structured interviews were conducted in person with 26 pregnant or postpartum women living in inner-city neighborhoods with high rates of inadequate prenatal care. Interviews averaged 67 min in length. Recruitment of participants continued until data saturation was achieved. Inductive content analysis was used to identify themes and subthemes under four broad topics of interest (barriers, facilitators, motivators, and suggestions). Sword’s socio-ecological model of health services use provided the theoretical framework for the research. This model conceptualizes service use as a product of two interacting systems: the personal and situational attributes of potential users and the characteristics of health services.Results:Half of the women in our sample were single and half self-identified as Aboriginal. Participants discussed several personal and system-related barriers affecting use of prenatal care, such as problems with transportation and child care, lack of prenatal care providers, and inaccessible services. Facilitating factors included transportation assistance, convenient location of services, positive care provider qualities, and tangible rewards. Women were motivated to attend prenatal care to gain knowledge and skills and to have a healthy baby.Conclusion:Consistent with the theoretical framework, women’s utilization of prenatal care was a product of two interacting systems, with several barriers related to personal and situational factors affecting women’s lives, while other barriers were related to problems with service delivery and the broader healthcare system. Overcoming barriers to prenatal care and capitalizing on factors that motivate women to seek prenatal care despite difficult living circumstances may help improve use of prenatal care by inner-city women.

show abstract

Section: Discussionmentioning

confidence: 99%

Perceptions of barriers, facilitators and motivators related to use of prenatal care: A qualitative descriptive study of inner-city women in Winnipeg, Canada

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Despite these favorable outcomes, implementing CenteringPregnancy can be difficult, because it represents a substantial paradigm shift from traditional individual prenatal care visits (Rising, Kennedy, & Klima et al, ). Reported challenges, which include difficulties with space, scheduling, recruitment, and staffing (Hackley, Applebaum, Wilcox, & Arevalo, ; Klima, 2009; Phillippi & Myers, ; Picklesimer et al, ; Tanner‐Smith, Steinka‐Fry, & Lipsey, ; Teate, Leap, & Homer, ; Tilden, Hersh, Emeis, Weinstein, & Caughey, ; Vonderheid, Carrie, Norr, Grady, & Westdahl, ), may create barriers to implementing and sustaining the full model as originally designed (Lathrop & Pritham, ; McDonald et al, ; Novick, Sadler, Knafl, Groce, & Kennedy, ).…”

Section: Implementation Challengesmentioning

confidence: 99%

“…Reported challenges, which include difficulties with space, scheduling, recruitment, and staffing (Hackley, Applebaum, Wilcox, & Arevalo, 2009;Klima, 2009;Phillippi & Myers, 2013;Picklesimer et al, 2012;Tanner-Smith, Steinka-Fry, & Lipsey, 2012;Teate, Leap, & Homer, 2012;Tilden, Hersh, Emeis, Weinstein, & Caughey, 2014;Vonderheid, Carrie, Norr, Grady, & Westdahl, 2013), may create barriers to implementing and sustaining the full model as originally designed (Lathrop & Pritham, 2014;McDonald et al, 2015;Novick, Sadler, Knafl, Groce, & Kennedy, 2013).…”

Section: Implementation Challengesmentioning

confidence: 99%

Perceptions of Barriers and Facilitators During Implementation of a Complex Model of Group Prenatal Care in Six Urban Sites

Novick

Womack

Lewis

et al. 2015

Research in Nursing & Health

View full text Add to dashboard Cite

Group prenatal care improves perinatal outcomes, but implementing this complex model places substantial demands on settings designed for individual care. To describe perceived barriers and facilitators to implementing and sustaining Centering Pregnancy Plus (CP+) group prenatal care, 24 in-depth interviews were conducted with 22 clinicians, staff, administrators, and study personnel in six of the 14 sites of a randomized trial of the model. All sites served low-income, minority women. Sites for the present evaluation were selected for variation in location, study arm, and initial implementation response. Implementing CP+ was challenging in all sites, requiring substantial adaptations of clinical systems. All sites had barriers to meeting the model’s demands, but how sites responded to these barriers affected whether implementation thrived or struggled. Thriving sites had organizational cultures that supported innovation, champions who advocated for CP+, and staff who viewed logistical demands as manageable hurdles. Struggling sites had bureaucratic organizational structures and lacked buy-in and financial resources, and staff were overwhelmed by the model’s challenges. Findings suggested that implementing and sustaining health care innovation requires new practices and different ways of thinking, and health systems may not fully recognize the magnitude of change required. Consequently, evidence-based practices are modified or discontinued, and outcomes may differ from those in the original controlled studies. Before implementing new models of care, clinical settings should anticipate model demands and assess capacity for adapting to the disruptions of innovation.

show abstract

“…Barriers to attending GPNC closely resemble the reported barriers to attending traditional care of transportation, scheduling, and child care (Phillippi & Myers, 2013). Additional perceived barriers to GPNC identified by clinic staff include confidentiality and patient–provider relationship quality concerns and a lack of knowledge about GPNC (Vonderheid, Carrie, Norr, Grady, & Westdahl, 2013).…”

Section: Introductionmentioning

confidence: 99%

Intention to Participate in Group Prenatal Care: Moving Beyond Yes or No

Berman

Yorga

Sheeder

2018

Health Promotion Practice

View full text Add to dashboard Cite

Group prenatal care (GPNC) is an alternative model to traditional individual care and may improve public health outcomes. Prior studies suggest that interest in GPNC varies widely and few studies have examined characteristics predictive of interest in this model. The purpose of this study was to inform GPNC recruitment efforts by examining likelihood of participation delineated by characteristics and GPNC perceptions. Pregnant participants received information about GPNC then completed a survey measuring demographic, psychosocial, and reproductive characteristics, likelihood to participate in GPNC, and factors influencing selections. Respondents expressed varied levels of likelihood to participate in GPNC; 16.2% low likelihood, 44.9% moderate likelihood, and 38.9% high likelihood. Characteristics were similar between groups, and thus their use is not recommended when targeting recruitment efforts. Benefits outweighed barriers and threats for the high likelihood category, barriers and threats outweighed benefits for the low likelihood category, and benefits, barriers, and threats were balanced for the moderate likelihood category. Accurately assessing likelihood of participating in GPNC efficiently identifies individuals who are clearly either going to decline or participate, as well as promotes targeted recruitment efforts directed at those who are ambivalent. Understanding and addressing perceived benefits, barriers, and threats supports effective GPNC recruitment.

show abstract

Using Focus Groups and Social Marketing to Strengthen Promotion of Group Prenatal Care

Cited by 14 publications

References 22 publications

Perceptions of barriers, facilitators and motivators related to use of prenatal care: A qualitative descriptive study of inner-city women in Winnipeg, Canada

Perceptions of barriers, facilitators and motivators related to use of prenatal care: A qualitative descriptive study of inner-city women in Winnipeg, Canada

Perceptions of Barriers and Facilitators During Implementation of a Complex Model of Group Prenatal Care in Six Urban Sites

Intention to Participate in Group Prenatal Care: Moving Beyond Yes or No

Contact Info

Product

Resources

About